Program Solutions, Llc | |
3249 Hennepin Ave Ste 210a Minneapolis MN 55408-3413 | |
(612) 361-7260 | |
Not Available |
Full Name | Program Solutions, Llc |
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Speciality | Clinic/Center |
Location | 3249 Hennepin Ave Ste 210a, Minneapolis, Minnesota |
Authorized Official Name and Position | Christine Kerno (OWNER) |
Authorized Official Contact | 6123617260 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Program Solutions, Llc 3249 Hennepin Ave Ste 210a Minneapolis MN 55408-3413 Ph: (612) 361-7260 | Program Solutions, Llc 3249 Hennepin Ave Ste 210a Minneapolis MN 55408-3413 Ph: (612) 361-7260 |
NPI Number | 1942851936 |
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Provider Enumeration Date | 09/22/2019 |
Last Update Date | 09/22/2019 |
Medicare PECOS PAC ID | 8820422611 |
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Medicare Enrollment ID | O20200103000725 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942851936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Christine M Kerno |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730357443 PECOS PAC ID: 7911127584 Enrollment ID: I20200103000791 |
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